Organization
PROGRESSIVE DENTAL OF MECHANICSVILLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J MCAVOY DDS (OWNER)
(804) 730-1773
Entity
Organization
Contact information
Practice address
8417 NORTH RUN MEDICAL DRIVE, MECHANICSVILLE, VA 23116
(804) 730-1773
Mailing address
8417 NORTH RUN MEDICAL DRIVE, MECHANICSVILLE, VA 23116
(804) 730-1773
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006911
VA
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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